Clinical efficacy and neuroprotective effects of brimonidine in the management of glaucoma and ocular hypertension

Anna Galanopoulos1, Ivan Goldberg21Senior Visiting Ophthalmologist, South Australian Institute of Ophthalmology and Dept of Ophthalmology and Visual Sciences, University of Adelaide, South Australia; 2Clinical Associate Professor, University of Sydney, Australia; Head, Glaucoma Unit, Sydney Eye Hosp...

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Autores principales: Anna Galanopoulos, Ivan Goldberg
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Lenguaje:EN
Publicado: Dove Medical Press 2008
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Acceso en línea:https://doaj.org/article/eb440bd0135d4fe88ba06a90c277e32b
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spelling oai:doaj.org-article:eb440bd0135d4fe88ba06a90c277e32b2021-12-02T04:29:05ZClinical efficacy and neuroprotective effects of brimonidine in the management of glaucoma and ocular hypertension1177-54671177-5483https://doaj.org/article/eb440bd0135d4fe88ba06a90c277e32b2008-12-01T00:00:00Zhttp://www.dovepress.com/clinical-efficacy-and-neuroprotective-effects-of-brimonidine-in-the-ma-a2707https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Anna Galanopoulos1, Ivan Goldberg21Senior Visiting Ophthalmologist, South Australian Institute of Ophthalmology and Dept of Ophthalmology and Visual Sciences, University of Adelaide, South Australia; 2Clinical Associate Professor, University of Sydney, Australia; Head, Glaucoma Unit, Sydney Eye Hospital, Sydney, Australia, Director, Eye Associates, Sydney, AustraliaAbstract: Elevated intraocular pressure (IOP) is a significant risk factor for the development and progression of glaucomatous optic neuropathy, but increasingly we appreciate that non-pressure dependent factors, are key to our understanding of the pathophysiology of these neurodegenerative diseases, that target the retinal ganglion cell. As we try to expand therapy beyond IOP control, medications are being assessed for their neuroprotective abilities. Brimonidine is an effective ocular hypotensive treatment both as a first and second line agent, in the management of glaucoma and ocular hypertension. Brimonidine tartrate 0.2% is generally safe and well tolerated, with its safety profile further enhanced in the altered formulation brimonidine-Purite™ 0.1%. Beyond brimonidine’s pressure lowering capacity, laboratory and early clinical evidence supports its neuroprotective potential. We await validation of this in human clinical trials.Keywords: brimonidine, neuroprotection, clinical effectiveness, tolerability Anna GalanopoulosIvan GoldbergDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2009, Iss default, Pp 117-122 (2008)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Anna Galanopoulos
Ivan Goldberg
Clinical efficacy and neuroprotective effects of brimonidine in the management of glaucoma and ocular hypertension
description Anna Galanopoulos1, Ivan Goldberg21Senior Visiting Ophthalmologist, South Australian Institute of Ophthalmology and Dept of Ophthalmology and Visual Sciences, University of Adelaide, South Australia; 2Clinical Associate Professor, University of Sydney, Australia; Head, Glaucoma Unit, Sydney Eye Hospital, Sydney, Australia, Director, Eye Associates, Sydney, AustraliaAbstract: Elevated intraocular pressure (IOP) is a significant risk factor for the development and progression of glaucomatous optic neuropathy, but increasingly we appreciate that non-pressure dependent factors, are key to our understanding of the pathophysiology of these neurodegenerative diseases, that target the retinal ganglion cell. As we try to expand therapy beyond IOP control, medications are being assessed for their neuroprotective abilities. Brimonidine is an effective ocular hypotensive treatment both as a first and second line agent, in the management of glaucoma and ocular hypertension. Brimonidine tartrate 0.2% is generally safe and well tolerated, with its safety profile further enhanced in the altered formulation brimonidine-Purite™ 0.1%. Beyond brimonidine’s pressure lowering capacity, laboratory and early clinical evidence supports its neuroprotective potential. We await validation of this in human clinical trials.Keywords: brimonidine, neuroprotection, clinical effectiveness, tolerability
format article
author Anna Galanopoulos
Ivan Goldberg
author_facet Anna Galanopoulos
Ivan Goldberg
author_sort Anna Galanopoulos
title Clinical efficacy and neuroprotective effects of brimonidine in the management of glaucoma and ocular hypertension
title_short Clinical efficacy and neuroprotective effects of brimonidine in the management of glaucoma and ocular hypertension
title_full Clinical efficacy and neuroprotective effects of brimonidine in the management of glaucoma and ocular hypertension
title_fullStr Clinical efficacy and neuroprotective effects of brimonidine in the management of glaucoma and ocular hypertension
title_full_unstemmed Clinical efficacy and neuroprotective effects of brimonidine in the management of glaucoma and ocular hypertension
title_sort clinical efficacy and neuroprotective effects of brimonidine in the management of glaucoma and ocular hypertension
publisher Dove Medical Press
publishDate 2008
url https://doaj.org/article/eb440bd0135d4fe88ba06a90c277e32b
work_keys_str_mv AT annagalanopoulos clinicalefficacyandneuroprotectiveeffectsofbrimonidineinthemanagementofglaucomaandocularhypertension
AT ivangoldberg clinicalefficacyandneuroprotectiveeffectsofbrimonidineinthemanagementofglaucomaandocularhypertension
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